Individual
DARCIE COLLICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
700 WEBER RD, O FALLON, IL 62269-2248
(618) 624-6000
(618) 726-4858
Mailing address
1034 S BRENTWOOD BLVD STE 300, SAINT LOUIS, MO 63117-1203
(314) 644-1978
(314) 647-1350
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
070010738
IL
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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